HomeMy WebLinkAboutBuilding Permit Application""''illi■llii'ilrl� Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _ Residential X
PERMIT TYPEWC CHANGE OUT
PROPOSED IMPROVEMENT LOCATION:
Address: 10851 S OCEAN DR LOT 88
Property Tax ID #: 4511-810-0095-000-0
Site Plan Name:
Project Name:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
A/C CHANGE OUT. SAME FOR SAME, ONE 3 TON 14 SEER FRIGIDAIRE PACKAGE UNIT WITH &KW HEATER.
CONSTRUCTION INFORMATION:
Addit' nal work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank —Gas Piping Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 4750
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERf LESSEE:
CONTRACTOR:
Name Mark A Swartz
Name: JUAN CRUZADO
Address: 10851 S OCEAN DR LOT 88
Company: JENSEN BEACH AIR & HEAT LLC
City: JENSEN BEACH State: ,
Zip Code: 34957 Fax:
Phone No. 304.932.8887
Address: 2092 SE HANFORD RD
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No 772.334.3200
E-Mail: MSWARTZ@OUTLOOK.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail JENSENBEACHAC@GMAIL.COM
State or County License CAC1818779
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
I'Rl1CTION LIEN LAW INFORMATION
✓
DESIGNER ENGI / NEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signa(&v`of Owner/ Lessee ontractor as Agent for Owner
Signat re ContracTo5r/Licefnse Holder
STATE OF FLORIDA C.
`C {j
STATE OFLORIDA
COUNTY OF T`
COUNTY OF -
l
The fng instr edg0<fore me
ay of 2lby
Thith�g inst o lme
athis yo
itcn�rtj
Name of person making tatement.
Name of person makin tatement.
Personally Known �/ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ignature of Notary P lic St
c��C�,I, „ ' .Cg Al MARIE CRUZADO
ION # FF99321
(Signature of Notary Public- a of Florida)
MPR\6 GR gg32��
F
Commission Nd. i MY � )MrtS)
�, EXPIRES June 25, 2020
ommission o. a.(S�e� �pNe� vv
•,'�'orh?:� Fwr�dsNourYSe^'Ice.com
,ti!*v' �. (coo
REVIEWS
(407)
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION I`� ; F� MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW REVIEW W REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev.2/7/19